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General NPI Number Information
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NPI Number | 1841511987
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Entity Type | Individual
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Provider Name | CARMELINE YVONNE GUALVEZ CAMPOS RPH
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Gender | Female
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 7239 WOODMAN AVE
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City | VAN NUYS
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State | CA
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Zip | 91405-2621
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Country | US
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Telephone | 818-781-7127
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Fax | 818-781-9148
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Provider Business Mailing Address
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Address Line | 26991 TIMBERLINE TER
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City | VALENCIA
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State | CA
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Zip | 91381-0622
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Country | US
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Telephone | 661-287-3905
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Fax | 661-799-2767
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RH46618
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License Number State | CA
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